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1154816874
TANYENA JOHNSON
LAS VEGAS, NV
NPI
1154816874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2018-06-25
Last Update Date
2021-01-13
Business Address
TANYENA JOHNSON
9128 BLACK ELK AVE
LAS VEGAS, NV 89143-1184
Phone number: 702-994-8009
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Mailing Address
TANYENA JOHNSON
3920 W ANN RD STE 100
NORTH LAS VEGAS, NV 89031-3840
Phone number: 702-550-6700
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